Dale Alan Wickstrum in Tallahassee - Radiation Oncology
Dale Alan Wickstrum - NPI 1306890322
Dale Alan Wickstrum is a Radiation Oncology in Tallahassee, Florida. Dale Alan Wickstrum practices all healthcare services and medical treatments related to Radiation Oncology. The NPI Number for Dale Alan Wickstrum is 1306890322. The last update date is 2015-11-23.
Dale Alan Wickstrum's current location address is 2003 Centre Pointe Blvd, Tallahassee, Florida. You can contact this provider via phone number 8508782273 and fax number 8506715900. The mailing address for Dale Alan Wickstrum is 2003 Centre Pointe Blvd, Tallahassee, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Dale Alan Wickstrum |
|---|---|
| Address | 2003 Centre Pointe Blvd, Tallahassee, Florida |
| Phone Number | 8508782273 |
| Fax Number | 8506715900 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1306890322 |
|---|---|
| Provider Enumeration Date | 2006-05-22 |
| Last Updated Date | 2015-11-23 |
Provider Mailing Address Detail
| Address | 2003 Centre Pointe Blvd |
|---|---|
| City | Tallahassee |
| State | Florida (FL) |
| Post Code | 323084893 |
| Phone Number | 8508782273 |
| Fax Number | 8506715900 |
Provider's Primary Taxonomy Detail
| Speciality | Radiation Oncology |
|---|---|
| Taxonomy | 2085R0001X |
| Licence No | ME0035684 |
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Definition: A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 51677500 | FL | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Dale Alan Wickstrum?
The Dale Alan Wickstrum has been issued the NPI (National Provider Identifier) 1306890322 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you share the physical location details of Dale Alan Wickstrum?
The Dale Alan Wickstrum is situated at 2003 Centre Pointe Blvd, in the city of Tallahassee, state of FL, with the zip code 323084893.
What is Dale Alan Wickstrum's area of expertise and its corresponding taxonomy classification?
The Dale Alan Wickstrum's field of specialization is Radiation Oncology, and it falls under the taxonomy code 2085R0001X, which categorizes healthcare providers based on their areas of practice.
On what date did Dale Alan Wickstrum receive its 1306890322 assignment from the Centers for Medicare & Medicaid Services?
The Dale Alan Wickstrum was assigned its 1306890322 on 2006-05-22, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the Dale Alan Wickstrum's information last updated?
The Dale Alan Wickstrum's information was last updated on 2015-11-23.
NPI Number: 1215930425
Address: 224 W Exchange St, Akron, OH